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Kansas rates for HCPCS 49904

Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.07 / $7,655.00 / $13,151.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.50 / $1,828.99 / $3,133.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $5,562.00